Tuberculosis in Mozambique

Situation analysis

Tuberculosis is a public health challenge for Mozambique that ranks the 19th among the 22 High Burden Countries in the world, with estimated incidence rate of 431/100.000 population (all forms) in 2007. The case detection rate (49% in 2007) for the registered new smear-positive TB cases is below the global TB outcome target. TB-HIV co-infections are increasing; in 2008 60.1% of TB patients tested for HIV were HIV-positive. The recent DRS survey was conducted in 2007/2008 and the results of the survey indicate that the prevalence of MDR-TB is 3.4% among new cases and 8.3% among re-treatment cases.

Tuberculosis is one of the priority programs in the Ministry of Health and the Minister of Health showed strong commitment toward TB control. In March 2006, TB was declared a national emergency and the 2007 TB plan of action included priority actions to address this emergency such as: improvement of diagnosis and treatment quality, expanded access to DOTS to people living in underserved areas, implementation of community based intervention and intensifying TB/HIV collaborative activities.

Man lying on bed
WHO/Gary Hampton

In 2008, the new National Strategic Plan TB 2008-2012 was adopted by the government. The new strategic plan focuses on the recommendations from the Stop TB Initiative. This National strategic plan aims at reducing the global burden of TB in line with the Millennium Development goals and the Stop TB partnership targets.

The main components of the National Strategic Plan are:
  • Pursue high quality DOTS expansion and enhancement;
  • Address TB/HIV, MDR-TB and other challenges;
  • Contribute to health system strengthening;
  • Engage all care providers;
  • Empower people with TB and communities;
  • Enable and promote research.

Nowadays, the main financial assistance is provided by the GFATM and TB CAP and technical support comes from the WHO, TB CAP, Health Alliance International (HAI), CDC, ICAP and others.